Paediatric Training Pathway Career Prospects ‘Core Training’ (ST1 – 3) Where can you practice with this training? • Trainees should acquire basic clinical, pathological and • Teaching Hospital / Tertiary referral centre radiological understanding of paediatric diseases with • Large proportion if not all of work will be Paediatric reference to common presentations.1 Radiology • The majority of trainees gain 2 – 4 months of Paediatric • Some have dedicated Paediatric Radiology on calls Radiology experience during this period of core training.2 • For example in London: Great Ormond Street Hospital, Chelsea & Westminster Hospital, St Mary’s ‘Advanced (special interest) Radiology Training’ (ST 4-5) Hospital, The Evelina, King’s College Hospital, The • To gain Level 1 & Level 2 competencies1 Royal London Hospital • Approximately 75% of training schemes are able to deliver • DGH structured specialist training in Paediatric Radiology2 • Paediatric Radiology will be a specialist interest in addition to adult radiology work Out of Programme Training (OOPT) Where Paediatric Radiologists in • Can be used to acquire additional experience not available England Work within a training programme • Requires deanery approval in advance1

Specialist, 38 Paediatric Radiology Specialist Training Posts in London • Recruited to through the London Deanery Non- teaching, • Open to all Radiology trainees Numbers of Paediatric Radiologists 110 • in the UK Can be done pre- or post- CCT (ie as ST5 or ST6) • At GOSH there are 4 posts per year: 3 diagnostic paediatric Teaching, Scotland, Wales, 11 80 23 radiology and 1 paediatric Norhern Ireland, 13 Overseas Fellowships • Numerous fellowships are available around the world • Large centres include: SickKids (Toronto), BC Children’s Hospital (Vancouver), Starship (Aukland), The Royal Children;s Hospital (Melbourne), Children's Hospital at Westmead (Sydney), England, 228 Boston Children’s Hospital (Boston). Are there consultant jobs to apply for? • Some may require you to take exams (eg USA) • Yes lots • Applications often have to be made more than two years in • 3048 full time equivalent radiologists in the UK3 advance of anticipated start date. • 37 Paediatric radiologist expected to retire in the next 5 years3 • There are unfilled posts: For more information see: • In 2014 there were 30 unfilled Paediatric Radiology • Specialty Training Curriculum for Clinical Radiology, 13 November posts3 2015, The Faculty of Clinical Radiology The Royal College of • 47% of Paediatric Radiology posts advertised were Radiologists1 not filled in 20143 • http://www.lpmde.ac.uk/training-programme/specialty- • Paediatric radiology is the specialty most likely to fail schools/clinical-radiology to appoint3

Pros

• Variable work References • Multi-modality imaging • Wide range of 1. Specialty Training Curriculum for Clinical Radiology, • Greater emphasis on – patient interaction 13 November 2015 - • Nice colleagues https://www.rcr.ac.uk/sites/default/files/clinical_radiology_cu rriculum_2015.pdf 2. Radiology Trainee Survey 2013 - http://www.mybspr.org/radiologytraineesurvey.htm Cons 3. Clinical Radiology UK workforce cencus 2014 report - https://www.rcr.ac.uk/sites/default/files/publication/bfcr153_ • Possibly more frequent on calls than census_20082015.pdf

colleagues managing adult patients Prepared by: Dr Sam Chippington Dr Premal A Patel • Reporting of NAI imaging with subsequent court appearances / Head of Training Consultant Paediatric Interventional Radiologist Consultant Paediatric Interventional Radiologist Great Ormond Street Hospital litigation can be daunting Great Ormond Street Hospital

• Little private work